...question for concern. Many healthcare facilities and organizations are working on a plan to integrate diverse professions into one comprehensive medical model home to optimize effective patient-centered care outcomes. The goal is to reduce costs, expand the healthcare teams knowledge base while improving patient outcomes. How can the core competency of teamwork and collaboration impact the healthcare delivery system? How can we treat older adults that are more likely to seek and accept psychological services in primary care verses specialty mental health care settings? What are the challenges healthcare providers are facing that impede collaboration? There are many obstacles to face and barriers to cross before health care providers can work together more efficiently to achieve a higher level of teamwork and collaboration. Teamwork & Collaboration in Health Care Teamwork and collaboration among health care providers allows each profession to function competently within their own scope of practice as part of the interdisciplinary team to collaborate on shared goals, respect different views, communicate measureable processes for a positive effective outcome, and expand our knowledge base while providing patient-centered care. The IOM stated that: “An inter-disciplinary /inter-professional team is composed of members from different professions and occupations with varied and specialized knowledge, skills, and methods. The team members integrate their observations...
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...someone to produce or create something. “Collaborative Care in healthcare occurs when multiple health providers from different professions provide comprehensive services by working with people, their families, care providers, 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 support services” (Winnipeg Regional Health Authority, n.d.). Collaboration between interdisciplinary personnel is essential to excellence in patient care delivery. Currently there is a growing trend that “the basic education for all clinical professionals should include the knowledge, skills, and attitudes required to effectively participate in interdisciplinary teams, and that health care organizations should continue this education in the practice setting” (Ponte, Gross, Milliman-Richard,& Lacey, 2009). Although teamwork and interdisciplinary collaboration are ideal for healthcare, unfortunately these needs cannot or will not always be met by healthcare professionals. Collaboration and teamwork goals may not be met and for various reasons. There may be organizational barriers, barriers at the team level or within individual team members. A few of the most notable organizational barriers include lack of knowledge and/or appreciation of the roles of fellow healthcare professionals, lack of outcomes research on collaboration, legal...
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...describe your role in your current position and your educational preparation for this role? I am responsible for the initial creation, continuous education, and competency for whole house. I have my MSN in Nursing Education. This has prepared me and shown me the need for education services and the need to maintain competency for the staff. Provides the necessary tools to deliver current and competent care to our patients. My education has shown not only the need for education, but has provided insight into how to provide the educational programs/training to the staff. 2. How would you explain the unique contributions you as a nurse bring to an interdisciplinary team? Nurses are educated to look at the patient as a whole. I believe this perspective teaches nurses to look at each problem from every angle, recognize the outcomes and select the best on suited for the patient. 3. How would you describe the unique role of your specialty in promoting quality...
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...Interdisciplinary Relationships HCS/525 Leadership February 11, 2013 Interdisciplinary Relationships Communication in health care is crucial for success in any health care based institution. Collaborate communication within health care professionals is more effective than an individual. Collaboration in health care is defined as health care professionals assuming complementary roles and cooperatively working together, sharing responsibility for problem-solving and making decisions to formulate and carry out plans for patient care (Agency for Healthcare Research and Quality, 2008). Collaboration amongst physicians, nurses, and other health care professionals increases team members’ attentiveness of each other’s type of knowledge and skills, leading to continued improvement in decision making (Agency for Healthcare Research and Quality, 2008). Effective teams are distinguished by respect, trust, and collaboration. It can lead to better outcomes and benefit organizations in a positive way. Definition of communication in health care is a process which enables interdependence between associates of a healthcare entity or group (Northouse & Northouse, 1998). In health communication, the focus is on specific health related transactions and factors that influence these connections (Northouse & Northouse, 1998). It is imperative for effective communication to take place amongst health care professionals within the organization. It offers an opportunity for...
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...Sunday, September 16, 2014 Leadership Strategies Leadership Strategies In the hospital setting many interdisciplinary teams exist to improve patient care. As a member of an interdisciplinary team the nurse is able to provide valuable insight from the nursing perspective and may lead the team to achieve goals. One leadership strategy the nurse may employ is to be a visionary presenting a plan. Enlisting the support of the team to implement a plan through motivation is one example of leadership. A leader must have excellent communication skills to engage the unit staff cooperation in initiating the plan. The unofficial leader builds on abilities to inspire, creates enthusiasm and provides support to the care team members as the plan is implemented. The role of team leader does not have to be by a person in a formal leadership position. Often it is best filled by a front line staff nurse who is able to effectively gather support from her team members on the nursing unit. The leadership strategies exhibited by the nurse are being a visionary, a motivator, a communicator, an inspiration, mentor and even a cheerleader by creating enthusiasm to plan, initiate, implement and evaluate the plan of an interdisciplinary team. Active Involvement Active involvement of a nurse in the interdisciplinary team allows a well round view of processes that closely impact patient care. By having the nurse represent the nursing unit, much information can be learned about the core...
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...Organizational Systems and Leadership Task One Leadership Strategies The trait of leadership is not defined by holding a formal management or supervisory position. Leadership, as defined by Merriam-Webster Dictionary, can simply be “the act or an instance of leading” (2012). Nurses, in their role as manager of patient care, have many possibilities for exerting leadership on an interdisciplinary team. One way that a nurse can exert leadership is to motivate her peers to take action when presented with a problem. Too often, people are prone to complaining or complacency when confronted with a problem. People believe that the problem is something that is out of their control, or may simply not have the empathy to clearly understand that the problem at hand is important (Kruger, 2010). For example, there has been a recent increase in Emergency Department activity in the past few months. Due to the hustle and bustle on the unit, rooms are not getting cleaned by Environmental Services as quickly as they should, but the rooms are being cleared on the tracking board (a computer program that shows the status of all of the ED rooms). This is causing a problem with the triage nurses, as they are bringing patients back to dirty rooms and must return patients to triage while the triage nurse cleans the room. This backs up triage even more, and causes a cascade of events that breaks down the flow of patient traffic into rooms. Rather than complaining, two of the nurses on the unit...
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...Interprofessional Team Development: A Patient and Family Centered Care Western Governor’s University: C158 May 11th, 2016 Interprofessional Team Development: A Patient and Family Centered Care Approach Approach to patient care has changed over the last three decades from patient treatment-focused model to include comforting, engaging, and empowering patients. The new approach implements patient-centered care environments. It has been adopted by care providers, research bodies, funding agencies, and regulatory agencies, among others. To enhance patient-centered care, business practices, regulatory requirements, and reimbursement regulatory procedures have been adopted. This is evident by the regulations of Joint Commission and the provision of services by Medicare Medicaid services (CMS). In this paper, the impact of business practices, regulatory requirements, and reimbursement procedures on patient-centered care is discussed. A multidisciplinary approach on a process improvement enhancing Patient and Family Centered Focus Care is outlined in a hospital located in Arizona. Regulatory Requirements and Healthcare Business In 1996 the Institute of Medicine took on healthcare improvement to resolve unsafe care by ambitiously moving toward quality initiatives. The release of “To Err Is Human: Building a Safer Health System19 (1999) and Crossing the Quality Chasm (2001)” focused on the fails of the healthcare systems pointing out that over 98,000 patients die in hospitals...
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...Provision 2 in the daily care of my patients. I draw from these provisions a standard of care that is the basis of my nursing foundation. From Provisions 1, I bring to every interaction respect, compassion and commitment to each and every patient. I focus on the patient as a whole person, as someone who has multiple needs on many levels. I believe in collaboration with a multi-disciplinary healthcare team to better meet the health goals of my patient. It is paramount as a nurse to understand and practice within the boundaries of the Code of Ethics. Working in a hospital, which draws from the community a widely diverse patient population, I bring an inherent respect for every patient and treat all with dignity, regardless of their race, sexual orientation, social or economic status. An example of Provision 2, while caring for a patient at end of life, I have had occasion in which the patient had declined further treatment while the family demands treatment to continue. My primary focus is for that patient and that I must respect and support the patient’s wishes. As a healthcare professional, I have often talked with the...
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...Nursing Contributions in the Promotion of Safety Western Governor’s University Interdisciplinary teams are formed in most hospital settings. The individuals involved in the total care of a patient come together to discuss, plan, and implement patient care or care based improvements in protocol. Discussions on proposed topics reviewed by the team present an opportunity to weigh out all options and develop the best way to resolve issues with which they are faced. These teams give nurses the opportunity to be actively involved in determining the path of care of their patients. When a nurse serves on the team, they can exhibit leadership qualities without serving in the capacity of an official role. Often the role of the nurse is overlooked by other members of the team. The role of the nurse is to serve as an advocate for their patient and to work in their best interest toward their full recovery and well-being. This can be fulfilled by displaying certain characteristics. Examples include embracing effective teamwork skills and communication and also promoting safety during planning. Effective teamwork and communication helps a nurse to display a sense of leadership and confidence in her own abilities and judgments. According to the Institute for Healthcare Improvement, possessing these qualities will “help groups navigate competing priorities” (PS-103). Utilizing these qualities will allow groups to work in an environment of togetherness and success...
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...Organizational Systems and Quality Leadership[->0] Nursing Leadership Jean Marion WGU For every patient, there is a team of healthcare professionals collaborating to determine the best plan of care for that patient. As a part of that team, nurses have a great opportunity to advocate for the patients and have a positive impact on patient care outcomes. By being a good leader, the nurse can make the patients needs knows, demonstrate exceptional patient care, and motivate and inspire the team to do the same. There are strategies that nurses on an interdisciplinary team use to enable them to exert leadership without occupying a formal leadership position. One strategy is to be a good role model. If the nurse is professional, kind, respectful, honest, and trustworthy, others are more likely to be the same while working with her. If someone in the group is always "goofing off," and being disrespectful, it can disrupt the entire group. The role model nurse will always do what’s in the best interest of the patient. They come to work on time and as scheduled. They are knowledgeable, and participate in continuing education. The other members of the team will respect a good role model and come to her with questions or when needing advice. A good role model will not put others down, or make them feel stupid; she will educate, and mentor. These qualities will make others look to her for leadership. A second strategy is to take responsibility for problems....
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...yyThe new nurse supervisor should spend time educating all of the clinicians in the clinic on how to incorporate teamwork through collaboration, effective communication, and by implementing the interdisciplinary care approach in order to improve quality and continuity of care for clients. It is important for healthcare providers to realize that they cannot single handedly meet all the healthcare needs of their patients through an independent practice approach. In order to be successful as a team, time needs to be spent in establishing goals for the patients, delegating tasks appropriately, explaining each member’s role, designating a team leader for decision-making, communicating effectively and resolving any conflicts that arise. In simple terms, the team should know which direction it is going, what is expected of each team member, what needs to be accomplished, who is responsible for what, and how it all will be done. Research has shown that there are multiple benefits to utilizing the interdisciplinary care team approach including improved patient care by increasing collaboration of multiple disciplines, encouraging patients to actively participate in their care and thus increasing patient empowerment. For the healthcare professionals it provides an opportunity to learn new skills and the ability to utilize expertise, allows the providers to focus on preventive care rather than on acute care only, and assists in professional satisfaction. The NCSBN and the ANA define delegation...
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...Seventy percent of healthcare deaths are due to patients with chronic illness and this percentage is expected to rise over the next few years (Kuziemsky, Borycki, Purkis, Black, Boyle, Cloutier-Fisher, & Wong, 2009). Holistic and palliative care involves assessing the totality of the person, which includes examining the emotional, physical, social, and spiritual needs of the patient (Matzo & Sherman, 2015). As this family is of Chinese descent with complicated needs, it would have been beneficial to integrate an interdisciplinary approach to holistic care. In the healthcare arena, interdisciplinary teams lead to improved patient outcomes by providing expertise in cases with multifaceted healthcare needs (Kuziemsky et at., 2009). McCorrey & Mason (2011) document that patients and families from other cultures may have limited understanding of the English language. Mr. L. and his family are having difficulty understanding the hospice nurse, especially in regards to Mr. L.’s eating. Therefore, the use of an interpreter may have aided this family in understanding the progression of his disease and...
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...Interdisciplinary collaboration is an important concept to implement in the healthcare setting. It requires mutual trust from all members of the interprofessional team in order to achieve common goals, which should always be patient-centered. According to Yoder-Wise (2014), the interprofessional team can include nurses, physicians, dietitians, social workers, case managers, pharmacists, and physical therapists that must work together to achieve cost-effective care while achieving the highest quality of care in the healthcare setting. Successful collaboration can be achieved with continuous and open communication. The team at St. Rose Siena consists of nurses, physicians, case managers, physical therapists, and sometimes social workers. Last week, these healthcare professionals held a meeting on how to improve and optimize patient safety and satisfaction, discussing what methods have been effective in the past, and what can be improved for the future. These meetings occur once every month, but there is a team huddle that occurs daily. Week after week, I see effective and successful collaboration amongst the members of the interprofessional team. If there is a problem, such as miscommunication, it is addressed immediately. Any misconceptions are clarified and patient goals are reiterated. This demonstrates a mutual understanding to minimize any risk to deliver safe patient care. Although effective interdisciplinary collaboration seems simple to accomplish, trust and respect...
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...Economics and Change Theresa Williamson FSCJ Dimensions of Professional Practice NUR3805 Dr. Kramer September 22, 2015 Economics and Change In March of 2010 President Obama signed the Affordable Care Act (ACA) into law. This act was to ensure that all Americans have access to healthcare. It provided coverage for pre-existing conditions, free preventative care, discounted medications for seniors and protected consumers against health care fraud. As health care professionals we had to accept and adapt to the change that was inevitably going to occur. This is going to be a collaborative effort on many different levels from nursing to case managers to nurse leaders. This act is going to require us to look at the way we charge for healthcare and how we are reimbursed for the care provided more carefully. The expectations are going to change for all involved with providing quality care to patients in any healthcare setting. The Affordable Care Act was not a spontaneous change but more of a mix between a developmental change and planned change. According to Blais and Hayes (Blais & Hayes, 2011, p. 254-255) “developmental change refers to physiopsychologic changes that occur during an individual’s life cycle or to the growth of an organization as it becomes more complex.” As a nation and a whole more and more people were not covered for health care or could not afford to pay for health care out of pocket. “More than 45 million American are uninsured, and as...
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...KOT Task 1 B. Leadership Strategies A nurse can be involved in an interdisciplinary team and provide leadership without officially being a formal leader. A leader is not just a title; it is reflected in attitudes and actions of the individual. A leader identifies a problem and seeks solutions to this problem. Because a nurse works directly at the patient bedside, the nurse has a unique position to see many problems first hand and can become an advocate for the patient. Acting as this patient advocate, the nurse can be a leader by identifying the problems and coordinating efforts with the entire team for a solution. The nurse must communicate effectively to make sure information is relayed correctly and in ways each team member can identify with. Again because the nurse is at the patient bedside, the nurse is in a critical leadership role to provide follow up reports and update the team regarding improvements. Another way the nurse provides leadership on an interdisciplinary team is by reviewing current problems with the team and explaining current work flow from the nurse perspective. This allows all team members to understand the situation first hand rather than just as a problem on a report. By showing respect as other team members share their perspective, the nurse is also showing leadership skills and can become a role model for other co-workers. Additional leadership skills shown are “cooperation, commitment, and a willingness to accomplish shared goals.” (Cherry...
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