Sibley, 8-14 Essential Elements of Team-Based Learning
●The 4 elements of team based learning
Four elements of team based learning
1. Groups are
... [Show More] formed by the instructors, permanent and work together over a period of time. - because students learn better in instructor formed groups. Ideal group size 5-8 people.
2. Class prep (students must be motivated) - Readiness Assurance Preparation (RAP) - ensures readiness, and work with your team.
3. Application Activities(group assignments)- Learn how to apply the concepts - apply concepts to case or situation
4. Accountability to team mates - when you do prep you are accountable to your team.
define collaboration
Collaboration is a development of partnerships to achieve the best possible outcomes that reflect the particular needs of the patient, family, or community, requiring an understanding of what others have to offer.
scope of collaboration in giddens
Nurse - Patient -
Nurse- Nurse -intRAprofessional - focus on the pt - common goal
Interorganizational - budget cuts lead to poor health care access- complete restructuring
Interprofessional
Interorganizational collaboration
Is important in today's health care environment
Pooling resources and information benefits both patients and communities.
Interprofessional Collaboration goal
Goal: to achieve the best possible outcome for the patient and the family
Individual areas of expertise are represented along with the perspectives and experience of that profession
Learn with, from and about others
Work across professional roles and boundaries
Benefits of Collaboration in Health Care are (4)?
• Working together REDUCES ERROR in pt care
• REDUCE the risk of STAFF BURNOUT, healthier work environments
• STAFF SATIFACTION, breakdown the traditional hierarchy
• Co-ordinate care of the patient
• Collaboration is based on solid communication, pt and families more satisfied with the care they receive
interrelated concepts of collaboration are?
professional id
ethics
communication
safety
health care quality
carecoordination
Professionalism/Professional Identity is?
Professionalism
• Application of the ideal qualities of an individual within specific professional field
• Encompasses professional identity which refers to the skills values and expertise common to individuals in a profession
IHI Triple Aim
Improve the patient experience of care (including quality and satisfaction)
Improve the health of populations.
Reduce the per capita cost of health care.
IHI quadruple aim
- Improve the patient experience of care (including quality and satisfaction)
- Improve the health of populations.
- Reduce the per capita cost of health care.
- IMPROVED PROVIDER EXPERIENCE
Patient Safety
The Institute of Medicine (IOM) identifies effectively working together as an important professional competency.
The Joint Commission has cited the breakdown in communication among team members as the primary factor in sentinel events.
Crew Resource Management
Communication
Workload Management
Decision-making
Conflict Resolution
Leadership
Team Management
Stress Management
Goal of Interprofessional Collaboration
A Partnership between a team and health providers and a client in a participatory, collaborative and coordinated approach to shared decision-making around health and social issues
Four Attributes necessary for effective Interprofessional collaboration:
1. Values and ethics - patient care
2. Roles & responsibilities - role clarification, collaborative (shared) leadership
3. Communication -interprof communication
4. Teams & Teamwork - team functioning - conflict resolution
community/population oritented and patient and family centeredness
National Interprofessional Competency Framework 6 domaines
Six domains:
Role Clarification
Team Functioning
Patient/Client/Community-Centred Care
Collaborative Leadership
Interprofessional (IP) Communication
Interprofessional (IP) Conflict Resolution
RACE TILL CHYNAE CATCHES CUTE CATS
#1: Patient/ Family /Community Centered Care IS???
Engage and support the client as a partner in care
Include as integral partners
Each person is the expert in their own "health experience"
Support families through education
Through respect of the client and their family, we ensure better overall quality of care
#2: Interprofessional Communication
Professionals communicate with each other in a collaborative, responsive and responsible manner
Actively listen to other health care team members, patients and their families and the community
As per the WRHA, respectful IP communication hinges on transparent, honest interactions
This assists in building trusting relationships with patients & their families as well as fellow IP team members
#3: Role Clarification
Understand own professional role and role of others to achieve the goals of the client
Describe own role and that of others
Communicate components of roles using appropriate language
Helps avoid duplication and gaps in service
#4: Team Functioning
Understand and demonstrate effective team dynamics (task and processes) to enable effective collaboration
Be respectful of all members participation. Don't forget the patient!
Reflect on team's functioning continuously
Reflect on team ethics including confidentiality and professionalism
Effective team functioning ensures our patients received maximum benefit from the team's expertise
#5: Collaborative Leadership
Understand and apply a shared leadership model that supports collaborative practice
Work with others to facilitate effective collaboration
Create a climate of shared leadership and collaborative practice
Each team member shares responsibility for their role on the team
Shared responsibility is a positive collaborative environment leads to improved quality of care and better health outcomes
#6: Interprofessional Conflict Resolution
Positively and constructively address disagreements as they arise
Recognize the potential for conflict to occur and take constructive steps to address it
Validate and acknowledge differing perspectives
Value the potential positive nature of conflict
Collaboration as a Professional Standard CNA position statement is?
"The patient and family should be the focus of efforts to implement or expand interprofessional collaboration; they should also be partners throughout the collaborative care that is delivered (Supper et al. 2014; Careau, 2015).
Principles that Facilitate IP Collaboration
Client centered - core principle
Cultural safety
Access
Ethics
Communication - core principle
EIDM
Epidemiology
Social justice and equity
T or F
CRNM Entry Level Competencies for the Practice of Registered Nurses includes collaboration as one of the competencies
TRUE
Developing a Teamwork Culture facilitates 5 things
• Collaboration has great potential to benefit nursing and other health professionals
• Strong teamwork culture promotes
o Job retention
o Decreased resignation rates
o Improved perceptions of RN - physician communication
o Improved communication skills
o Improves patient & family satisfaction
Principles for Effective Collaboration
• Shared vision
• Developing trust and respect
• Understanding each other's perspectives
• Successful conflict resolution
• System support
• Effective communication and interpersonal skills
2 main domains for National Interprofessional Competency Framework
Patient/Client/Community-Centred Care
Interprofessional (IP) Communication
I
Interprofessional education (IPE): the process of _________________for collaborative practice
the process of preparing people for collaborative practice
CICH= Canadian Interprofessional health collaborative created what??
- Created the National Interprofessional Competency Framework
- Goal of Competencies: " enable learner to master those situation he will have to deal with in him professional and/or private life"
Competencies are _____________focused, requiring development and demonstration of the _______5 things__________involves in practicing collaboratively
Competencies are practice focused, requiring development and demonstration of the knowledge, skills, attitudes, values and judgements involves in practicing collaboratively
Collaborative leadership Supports shared _____________as well as leadership but also implies continues individual accountability for one's
Supports shared decision-making as well as leadership but also implies continues individual accountability for one's
Two components to leaderships role are?
task- orientation
relationship-orientations
Communication skills are demonstrated through __________
●Communication skills are essential. It helps to incorporate full disclosure/transparency and develops trust. They are demonstrated through listening, non-verbal means, verbally, consulting, interacting, discussing or debating.
Conflict Positive
● Conflict Positive - A term used to interpret differences of opinion as healthy and to be encouraged as constructive interactions.
Conflicts can arise from what 2 things?
Conflicts can arise from:
■ Roles: arise over differing accountability issues, perception of role overloads or role ambiguity among learners/practitioners.
■ Goals: differences due to dissimilar philosophies towards care, personal religious beliefs, etc.
Three considerations that influence the way in which the national interprofessional competency framework are applied:
1. Complexity of the situation or encounter
2. Context of practice
3. Quality Improvement
Quality Improvement
- Emphasis on working in ______ and how it is a "team sport."
-By working together across professions and across institutional roles, improvement activities carried out by interprofessional teams, rather than individuals, can more effectively address ______________ (especially in complex systems).
-Working together and creating ________ influence changes in practices that reduce ______________.
3. Quality Improvement
-Emphasis on working in systems and how it is a "team sport."
-By working together across professions and across institutional roles, improvement activities carried out by interprofessional teams, rather than individuals, can more effectively address quality issues (especially in complex systems).
-Working together and creating judgements influence changes in practices that reduce safety risks.
2. Context of practice
○In specific areas of practice (ie. rehab or personal care home), the health care team has time to consolidate and learn how to work together → thus, using the framework in a certain way. However, in an emergency room or high turnover acute medical unit, health care will apply the framework differently.
○The capacity of an individual to demonstrate the integration of these competencies in different contexts is a reflection of their comfort level and skill set within the practice setting (context).
○With practice, interprofessional collaboration becomes a common feature of the individual's performance.
2. Context of practice
○In specific areas of practice (ie. rehab or personal care home), the health care team has time to consolidate and learn how to work together → thus, using the framework in a certain way. However, in an emergency room or high turnover acute medical unit, health care will apply the framework differently.
○The capacity of an individual to demonstrate the integration of these competencies in different contexts is a reflection of their comfort level and skill set within the practice setting (context).
○With practice, interprofessional collaboration becomes a common feature of the individual's performance.
Complexity of the situation or encounter
-Simple systems: _________________
-Complicated system: __________
-Complex system: _____________
Complexity of the situation or encounter
○ Simple systems: those similar to following a recipe. Requires basic understanding of technique and terminology. Outcomes can be predicted and procedures for interventions can be quantified, measured and replicated.
○ Complicated system: those similar to sending a rocket to the moon. Involve a subset of simple systems, but cannot be reduced down to solely a simple system. These require understanding techniques and terminology but also required coordination and specialized expertise.
○ Complex system: involve both complicated and simple systems, but cannot be reduced to either type. Involve understanding unique local conditions, interdependence and non-linearity, and the capacity to adapt as conditions change.
Educators role in the CIHC National Interprofessional Competency Framework provides a starting point for describing:
1.
2.
3.
to determine if collaborative practice competencies are an outcome.
Educators:
The CIHC National Interprofessional Competency Framework provides a starting point for describing:
● Curriculum content
● Learning strategies
● Learning outcomes and methods
to determine if collaborative practice competencies are an outcome.
Learners role in the CIHC National Interprofessional Competency Framework
Learners:
The framework can help learners to locate educational activities that meet their collaborative learning goals.
Faculty in both academic and clinical settings can then verify the ability of learners to meet learning outcomes based upon the competency framework.
Regulators will find the competency framework useful in determining 2 things
Regulators will find the competency framework useful in determining:
(a) how to guide members to integrate interprofessional collaboration into their education/practice and
(b) how to work together as a group of regulatory bodies in addressing scope of practice issues.
Practitioners/Employers role in the CIHC National Interprofessional Competency Framework
Practitioners/Employers
continuing professional development may be framed around clinical or quality improvement issues using an interprofessional instructional design.
Collaborative leadership and management of interprofessional conflict training can be based upon the framework and embedded at the level of decision makers and policy. [Show Less]