Introduction
Acutely ill cancer clients are increasingly being treated as outpatients due to the increasing patient volume. Recently, the bulk oncology services shifted to outpatient settings, for example, physician offices, clinics, and cancer centers (Basic Infection Control and Prevention Plan for Outpatient Oncology Settings, 2016). According to Lee, Doran, Torangeau, & Fleshner, high quality interactions impact client care (2014). Therefore it is significant to gain insight on the interprofessional collaboration of outpatient oncology clinics.
This report will assess the strengths and limitations of a study about interprofessional collaboration, and its significance for nursing practice. This critical appraisal report will address the relationship between the independent variables nurses and physicians at two different cancer centres, and the dependent variables, which are supportive relationships and quality communication. This critical appraisal paper will analyze critical components of the research report, such as the title, abstract, and introduction, methods, results, and discussion, and global issues in order. Each heading will be analyzed further addressing specific subheadings. The purpose of this paper is to critically analyze the report “perceived quality of interprofessional interactions between physicians and nurses in oncology outpatient clinics,” written by (Lee, Doran, Tourangeau, & Fleshner, 2014).
Critical Analysis
Title
The title of this quantitative
In this essay we are going to explore the connection between professional nursing practice and professional caring. I will outline the terms of professional nursing practice and what makes nursing a profession? I will describe the term of professional caring and the connection to the nursing practice and discuss the dilemma of care and cure. And also determine the importance of both in professional nursing practice.
The institute of Medicine (IOM) has defined quality healthcare as safe, effective, timely, efficient and patient-centered care that is given to an individual regardless of their race, gender, financial status or health status (Wood & Haber, 2014). Quality initiatives are designed to help maximize efficiency; decrease poor work performance and resolve workforce problems through leadership, commitment and involvement (Abdallah, 2014). Abdallah (2013) also noted that trained physicians can help with the implementation of quality culture and employee morale, and it can help with the collaboration of ACNP and physician management. According to Chorostecki et al. (2015), interprofessional (IP) care includes shared decision-making, collaborative problem solving, respect in the work field, and equal contribution among all healthcare team members. Implementing effective interprofessional collaboration can help enhance quality care in hospital, acute, home or office settings (Chorostecki et al.,
Successful teamwork and collaboration directly affects the efficacy of interdisciplinary communication. When effective communication is achieved within the healthcare team, this increases the amount of positive patient outcomes. Nurses and physicians must cooperate in order to attain a synergetic relationship. Their roles are integral to creating a safe environment for their patients. When all of these elements combine, the quality of care improves and collegial relationships are strengthened.
As time goes by, people get infected with new diseases or current prevailing diseases. Consequently, new drugs are produced in an attempt to overcome these diseases, which results in patients with complex health needs. The complexity of the patients’ healthcare therefore needs to be addressed by more than one discipline. Interprofessional collaborative care is a type of health care that involves people from different professions working together and relying on each other to provide effective care to patients. Interprofessional collaborative care is important and predominantly a focus of the health care reform because it improves healthcare outcome for the patients and reduces disagreements between different professions. I was able to experience interprofessional care when my grandma was diagnosed with cancer. The physician and the pharmacist worked together in ensuring that she got the proper medication that would not have any side effects on her. In addition, the physician would call the pharmacy every two weeks to check on my grandma’s progress and to ensure that she had picked up her medications. Both my grandma and I were grateful because we felt that our needs were taken care of appropriately. Moreover, interprofessional health care is important in a curriculum because if helps the students to be better prepared to work as a team. This is achieved by teaching students about their own profession while receiving an understanding of the other professions and the roles they
Interprofessional team collaboration for professional nurses is viewed as a method to improve the care and safety for patients. However, interprofessional team collaboration presents both advantages and challenges for nurses and other team members. One of the advantages is the coordination of care for the patient and the sharing of knowledge to improve the outcomes for the patient. Challenges for interprofessional team collaboration is: poor role-definition, miscommunication, conflict, lack of accountability for assignment of responsibilities and tasks (Reeves, 2012). This paper will discussion the role of a nurse on an interprofessional team and the challenges, why interprofessional teams promote patient safety, and strategies to promote success interprofessional teams.
“All health care disciplines share a common and primary commitment to serving the patient and working toward the ideal of health for all.” (American Association of Colleges of Nursing, 2014, p. 1) There are many different professional members in the healthcare system. Each of them, have a specific specialty and responsibility to the patient and play an important role in the patient’s overall plan of care. “The scope of health care mandates that health professionals work collaboratively and with other related disciplines. Collaboration emanates from an understanding and appreciation of the roles and contributions that each discipline brings to the care delivery experience.” (American Association of Colleges of
Interprofessional Practice (IPP) occurs when different professional groups work together and rely on one another to accomplish common goals and improve healthcare outcomes. The way in which healthcare professionals interact and communicate with one another affects the quality of healthcare they provide and can effect patient care and safety (Australasian Interprofessional Practice and Education Network). Barriers to effective interprofessional practice between doctors and nurses have been well documented and include problem power dynamics, poor communication, lack of understanding of one another’s roles and responsibilities and from conflict arising due to different approaches to patient care (Zwarenstein, Goldman & Reeves, 2009)
A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.
“To become a high-performing team the team must be competent at goal setting, making assignments and ensuring that team members have the skills to complete them, consensus decision making, setting high standards, holding people accountable, and running effective meetings” (Dyer, Dyer, & Dyer, 2007, p. 74). In the article, “Professionals’ Views on Interprofessional Stroke Team Functioning” Jane Cramm & Anna Nieboer (2011) seek to explain that interprofessional teamwork is considered the core component of integrated care, a complex activity involving many different health care providers that demands effective team functioning (p. 1-2). And in the article, “The Role of Oncologists in Multidisciplinary Cancer Teams in the UK: An Untapped
Interprofessional practice is a collaborative practice where multiple health professionals work together in health services to provide comprehensive services to their patients, families and communities to get a more effective result by improving the quality of work. The collaborative practise is basically used by the nursing team or other health care workers who are the member of interprofessional team. “A call for interprofessional team and collaborative practice development has been sounded across Canada because this model is viewed as the way to ensure that all professionals and providers can practice to the full potential of their role and competencies” (Potter, 2014). Interprofessional collaborative practice is a way to ensure that human health resources are used properly which help to decrease the duration time for achieving a quality care.
Research into the effects of IPW has shown that a lack of collaborative working results in adverse effects on health care and patient care that a service user receives (Zwarenstein, Reeves & Goldman, 2009). The WHO library published a review of a study assessing the impact of interventions aimed at improving interprofessional and collaborative working in healthcare. The review examined interprofessional rounds, interprofessional meetings and externally facilitated inter-professional audit. The results proposed that interprofessional collaboration can improve the healthcare that service users (Apps.who.int,
“Interprofessional working involves complex interactions between two or more members of different professional disciplines. It is a collaborative venture in which those involved share the common purpose of developing mutually negotiated goals achieved through agreed plans which are monitored and evaluated according to agreed procedures. This requires the pooling of knowledge and expertise to facilitate joint decision making based upon shared professional viewpoints” (Barrett, Sellman & Thomas, 2005, p18). How individuals collaborate and work towards a common goal for the benefit of the patient is essential for a swift recovery.
According to American Nurses Association (2010) Scope and Standards of Nursing Practice, collaboration is defined as, “a professional healthcare partnership grounded in a reciprocal and respectful recognition and acceptance of: each partner’s unique expertise, power, and sphere of influence and responsibilities; commonality of goals; the mutual safeguarding of the legitimate interest of each party; and the advantages of such a relationship”.(p. 64). Collaboration amongst health care providers is very crucial in providing quality care to patients. Integration of disciplinary teams, improves communication, coordination, and most importantly, the safety and quality of patient care. It provides interaction between team members allowing
According to Chan, Zhou, & Liaw (2013), ineffective nurse-physician collaboration leads to work dissatisfaction and compromised quality patient care. A literature search was done to explore the attitudes of physicians and nurses towards their collaboration, the factors that affect physician-nurse collaboration, and also strategies to improve this. Results showed that physicians viewed the physician-nurse collaboration as less important, although they rated the quality of the collaboration higher than the nurses did. Factors that affected the collaboration included respect, trust, unequal power, understanding their roles, and also task prioritizing. Two ways to improve the
After taking in consideration many peer review articles, I have realized how important is the interprofessional care in the health care environment. It benefits both, patients and health professionals. It can be defined as the collaboration of more than two disciplines in the health profession working together to provide better patient care (Engel & Prentice, 2013). For example, there are many complex