Teamwork and Collaboration in Professional Nursing

Teamwork and

Collaboration in

Professional Nursing

Practice

Chapter 13

 

 

Healthcare Delivery System

• Population shifts

• Cultural diversity

• Patterns of diseases

• Advances in technology

• Economic changes

 

 

Models of Care

• Healthcare system models:

– Chain of command

– Complex adaptive systems (CASs)

• Nursing models of patient care:

– Team nursing

– Total patient care

– Case management

 

 

Roles of the Professional Nurse

• Caregiver

• Advocate

• Educator

• Leader

• Manager

• Collaborator

• Researcher

 

 

Teamwork and Collaboration

• Refers to functioning effectively within

nursing and interprofessional teams,

fostering open communication, mutual

respect, and shared decision making to

achieve quality patient care (QSEN, 2007)

 

 

Collaborative Practice Goals

• Improve client satisfaction with care

• Enhance continuity across continuum of care

• Provide research-based, high-quality, cost-

effective care that is driven by expected outcomes

• Promote mutual respect and communication

between clients and healthcare team members

• Provide opportunities to resolve issues and solve

problems

 

 

Levels on the Continuum of

Collaboration

Information exchange Consultation Referral

Lowest Level _______________________________________________________Highest Level

Communication Coordination of care Co-management

between patient and

each professional

 

 

Interprofessional Collaborative

Practice Domains

• Values/ethics for interprofessional practice

• Roles and responsibilities for collaborative

practice

• Interprofessional communication practices

• Interprofessional teamwork and team-based

practice

 

 

Interprofessional Team

Communication

• TeamSTEPPS (Team Strategies and Tools to

Enhance Performance and Patient Safety)

• SBAR (Situation, Background, Assessment,

and Recommendation)

• Cross-monitoring

• CUS (Concerned, Uncomfortable, Safety)

• Call out, check back, and 2-challenge rule

 

 

Team Performance

• Groupthink

• Excessive authority gradients

• Excessive courtesy

• Performance-shaping behaviors

 

 

Barriers to Interprofessional

Communication and Collaboration

• Cultural differences, gender differences,

generational differences, personality differences

• Hierarchy, organizational culture, differences in

schedules and routines, differences in jargon,

professional rivalry, disruptive behavior

• Differing values and expectations, varying

qualifications and status, and complexity of care

requiring rapid decision making

 

 

UQ Interprofessional Practice: Harness

the Power of Healthcare Teams Video

https://youtu.be/iLwFrMYttz4

 

https://youtu.be/iLwFrMYttz4

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Transforming healthcare and improving quality are priorities for the profession of nursing. 

Transforming healthcare and improving quality are priorities for the profession of nursing.  The following activity will help you explore key national priority health care areas for quality improvement as identified by the Institute of Medicine.  Begin by selecting a key healthcare priority area and a population. Next, review and locate 2 article that describes a nursing intervention designed to improve a patient outcome for the chosen population selected healthcare priority issue.  Finally, discuss why it is important for nursing to be involved in Quality Improvement and describe how nursing values can be used to help improve safe patient care.

Access the Priority Areas for National Action: Transforming Health Quality and read Chapter 3: Priority Areas for Quality Improvement, pages 41-45.  Select ONE priority area (priority healthcare issue) and identify a patient population you would like to explore.

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Respond to the following, and if appropriate, include personal experience as part of your answers.

Public SpeakingDetailsPerform the following tasks:

Step 1: Post the following on the discussion board.
Respond to the following, and if appropriate, include personal experience as part of your answers.
Think about what you have learned in this lesson regarding the use of supporting materials when preparing to make a public presentation, and read the following quote by Woodrow Wilson: “I use not only all the brains I have, but all I can borrow.”
Write two or three sentences that describe what you need to consider when evaluating material from the Internet.
Provide an example(s).

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Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment.

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

· Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.

· Explain the stepwise approach to asthma treatment and management for your patient.

· Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.

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