Collaboration In Health Care Collaboration

As a clinic manager, I have seen where collaboration failed because of one untrustworthy team member. She was untruthful of her professional and medical background, and so was hired to work full time at a local clinic at BCW. While employed, she took to her personal needs, and failed to accomplish her responsibilities as a medical provider. This resulted in clinic closure due to financial down turn and other issues. Clearly, the employee was not a team player and was highly irresponsible as a professional. I was part of the hiring team that did not agree on hiring this person.

Partnership and cooperation between agencies are critical to the success of work in health promotion agencies (Butterfoss, 2012). The importance is recognized by practitioners across all levels. This coordination strengthens the capacity of various projects and services and helps broaden their reach, engaging more stakeholders hence achieving the shared objectives. Partnerships can attain greater outcomes than individuals or organizations working alone. The shared expertise, skills, and resources are the contributing factors to the increased benefits achieved by partnerships. The benefits include; efficient resourcing, effective delivery of services, policy development at community and organizational levels and social and community development

1.  In Chapter 5 of Collaboration Across the Disciplines in Health Care, there is a list of expectations a patient should set for their doctor (doctors are not mind readers, doctors don't have crystal balls, doctors don't know everything, doctors don't have "the answer",  doctors don't have magic wands, doctors spend a limited amount of time with you, doctors make mistakes, doctors are people too, and you have a job too).  After reading this list of expectations, do you feel that when you are a patient you meet these expectations? Are there any expectations that you do not meet or agree with? Furthermore, are there any additional expectations that you think should be added to this list?

Collaboration is a process in which a nurse practitioner has a relationship with one or more physicians to deliver health care services. Such collaboration is to be evidenced by nurse practitioners documenting the nurse practitioners’ scope of practice and indicating the relationships that they have with physicians to deal with issues outside their scope of practice. Nurse practitioners must document this collaborative process with physicians. The collaborating physician does not need to be present with the nurse practitioner when the services are furnished or to make an independent evaluation of each patient who is seen by the nurse practitioner.

The capacity to work with other clinicians from various disciplines, in delivery of quality care through joint effort, is an essential feature needed in health care profession. Additionally, it is through effective and skilled professional communication of health care professionals that the patients and family members are able to receive quality care and outcomes. The interprofessional collaboration is affected by the environmental conditions, as well as health care conditions. The impact of these factors, significance, and the management have greatly influenced the health care delivery. In order to enhance the knowledge of the future generation of nurses, designed models are needed, to demonstrate how collaboration works in clinical settings.

Interdisciplinary collaboration in health care is a critical value for successful outcome and maintenance of community health care and wellness. Community has raised the ethical concern of potential interference of private rights in mandatory AIDS or TB testing. The community leadership has instituted the voluntary testing and screening for AIDS as part of the health care strategy. Through research and analysis, the ethical and legal justification have been sufficiently supported the mandatory screening of “latent infection” (p.135, Bayer, year) Furthermore, contact tracing has provided surveillance program that may prevent in further spreading of the sexually transmitted disease or tuberculosis under the protection of privacy and confidential

A weakness in communication between interdisciplinary team members can impact patient safety and health . A recent study revealed that out of all the claims analyzed , 57 percent of malpractice cases reflected miscommunication between two or more healthcare providers (Riah, 2015). In fact, the same communication failures directly linked to 1,744 deaths over the past five years (Budryk, 2016). During my clinical placement this semester I have witnessed the overwhelming number of health care team members that are involved in each patient’s care. I also take part in morning nursing rounds where all nurses are updated on every patient’s status. Transmission of permanent patient information is also relayed to all members of the health team via the patient chart .Here , interdisciplinary notes all come together to form updated health information on patients. However, although I have read interdisciplinary notes from all team members , I rarely have had the opportunity to personally communicate with members other than doctors and nurses. Personal communication allows for a team member to pass on relevant information in a timely manner without the possibility or misinterpretations. When communication is strictly done non-verbally, it is impossible to ask any questions.. This is why communication between professionals in health care is essential for patient safety and improved quality of care (Koivunen, Niemi., & Hupli,2015). There are 3 main factors that cause miscommunication

The AHIMA, 2011, states that achieving high quality, cost-efficient healthcare requires collaboration among all healthcare professionals and stakeholders. However, collaboration is both a process and an outcome in which shared interest or conflict that cannot be addressed by any single individual is addressed by key stakeholders (Gardner, 2005). Essential HIM practices that must be considered part of quality and safety initiatives include:

Collaboration is a process involving at least two entities who commit to working toward a common goal. These entities must be open to discussing concepts in a positive manner to achieve mutual acceptance of shared principles and reach their objective. Participants share power in a collaborative relationship with each demonstrating respect for variances among the members. Group interactions become synergistic as each entity provides education and support for the others within the alliance (Hanson & Carter, 2015). Changes in today’s health care needs create the opportunity for innovative approaches to problem solving in the face of limited resources and increasing demands on time (Garcia, Meek, & Wilson, 2011). Collaboration is an essential

There are a number of elements that are essential for productive inter-professional teams for positive patient outcomes, the most important being communication. Bull & Brown (2012) describe communication as a two way process, for example information can be transmitted, but communication has to be shared, with Vuuren & Elving (2008) further adding that it creates a mutual understanding between parties when used appropriately. Not only is communication important to provide a positive patient outcome but Daly et al. (2003) state that to be effective, communication should be regular, timely, honest, clear, interactive and easy to understand with the opportunity for two way communication. Effective communication skills lead into another key element,

healthcare delivery processes contain numerous interfaces and patient handoffs among the care providers. Despite being in the same professions, these professionals have varying levels of education and expertise in handling the patient. A patient visiting a health center interacts with many of these professionals. This patient’s satisfaction is based on the care received by many professionals and by the way they handle and interact with the patient. For the clinical outcome to be efficient and effective, information must be accurately communicated. Failure to communicate effectively put the patient’s life and health at risk. Miscommunication can cause medical errors, which result in severe injury or even termination of life (O’Daniel and Rosenstein, 2008).

An example of communication among healthcare staff and patient was at the Regional Dialysis Center, when a patient had an active standing order for contact precautions due to MRSA in her catheter site. When the nurse and I approached her, the patient asked “why are we gowning up, when the charge nurse did not”. The nurse stated that she will looking into the situation, but until it is resolved she has to follow policy protocol. After my nurse was finished hooking the patient to the machine, she went and talked to the charge nurse. After talking among each other, the charge nurse decided to call the facility the patient was residing in to find out what was going on with the status. After about an hour, it was decided to do a MRSA swap to see

Medical practice, regardless of what field is concerned, will always necessarily require effective teamwork and communication. In order to gain a deeper appreciation of this reality, it is appropriate to explore these concepts in the context of healthcare. Teamwork is generally understood to mean a coordinated effort on the part of a group of people acting together in the interests of a common cause. This can involve doctors, nurses, therapists and other health professionals working together for the common purpose of providing a patient with the best clinical outcome possible. It logically follows that communication, which is the exchange of thoughts, opinions or other information by speech, writing or other modes, must be accurate and unhindered

The tables that you see in this section explain the results that we found pertaining to interprofessional collaboration within the health profession. Table 1 provides a focus on teamwork among healthcare workers. As you can see the “n” values are similar in size (with the exception of the Heuer, Albert J et al., (2010) article) they are relatively smaller groups. All the populations include medical staff whether it is students, nurses, or physicians. The article by Shrader stated that “Team training, including the use of simulations, for licensed healthcare professionals has been associated with improvements in patient outcomes and a decrease in adverse events.”. Therefore, they trained their students using human patient simulators. Finally, the most important thing to look at is that this table is saying is that all the outcomes were positive when using teamwork. Moving onto the next study, the article written by Heuer, Albert J et al (2010). This particular study involves a study taken by 116 medical students. They were each scored on twelve items broken down into three categories: process, outcomes, and the overall score. Under the category process they were evaluated on: presenters were well prepared, content was presented clearly, participants feedback encouraged, sessions were an appropriate duration, and the handouts will be a valuable resource. Under the category outcomes: video helped in understanding the function of each member, increased my awareness of

The capacity and disciplines sustaining human medicine and patient care overlap diverse fields. A patient admitted to the health care facility is typically under the care of a specific team of professionals who provide effective care by collaborating with other professionals in interrelated field of medicine. Collaboration and teamwork among health care professionals is fundamentally the key to positive patient outcomes. Essentially, each member of the health care team is specifically trained in distinctive knowledge and skill that enables them to be most excellent and do their very best in their specific roles. Working together as a team engenders specific strengths of each discipline to focus on the care of the patient, complements and augments any weaknesses or flaws of other teammates. Applicably, effective interdisciplinary relationships in the health care system, decrease costs and improve patient satisfaction, while improving general health care worker satisfaction. In this paper I will discuss various health care interdisciplinary relationships, including radiology, working in the emergency room, and working with the pharmaceutical company that market department needs to foster effective collaboration with the development department. Also, I discuss ways to avoid and resolve conflict, how to work as a team and collaborate with other departments, and ways to improve the process. Furthermore, how interdisciplinary relationships affect my