Those who are admitted to hospitals nowadays either through the emergency department or elective admission usually have multiple and complex health conditions and classically require more than one health professional to address these needs. In today’s hospital settings interprofessional collaboration is being promoted as a holistic means of providing patient centred care and plays an extremely important role in healthcare. It is said to improve the delivery of healthcare by reducing morbidity and mortality by decreasing wait times, improving chronic disease management and promoting patient safety (World Health Organisation, 2010). Team work at this level is a very involved process in which a wide variety of health care workers, from …show more content…
While on this placement I attended allied health meetings and got a firsthand introduction to how interprofessional collaboration works inside a psychiatric unit. The patient was a middle aged man who was diagnosed in his early twenties with what is now called bipolar. He is a known marijuana user and a binge drinker however he has been clean for around 1 year; then in his mid-thirties he was diagnosed with paranoid schizophrenia. He had come in through the emergency department after an unsuccessful suicide attempt and had been on the unit for nearly 5 months; he was due for discharge by the end of the week. An interprofessional allied health team was formed to help smooth the transition back to real life. They all met in the large conference which had a combination of couches and office chairs as well as yoga/exercise balls. Everybody sat in a kind of circle the main door free of any obstacles The interprofessional team consisted of • 2 x psychiatric doctors their role was to be directly involved in his treatment and care plan management as well as providing therapeutic counselling in the first few weeks after discharge • a psychiatric nurse, • outpatient psychologist whose role was to provide ongoing counselling for both the patient and his family so that they can deal with difficult emotions, mental health issues, stress, as well as drug and alcohol issues should they arrive. • social worker her role was to arranged for daily
Nurses play an important role in achieving the competencies of interprofessional collaboration, quality improvement, and human flourishing. Successful interprofessional collaboration requires the willingness to step outside of one’s comfort zone and initiate interactions with other professionals. Nurses must also possess a well-rounded understanding of patient needs in order to know which types of professionals with which to collaborate. Communication skills are
The National Safety and Quality Health Service (NSQHS) Standard 2 Partnering with Consumers requires all health professionals to provide consumer-centred care and to design the care in partnership with the patient and the family (Australian Commission on Safety and Quality in health Care, 2012). The NSQHS Standards (2012) identified patient and family-centred care and engagement as one of the national priorities. As such, in order to improve patients’ safety outcomes and reduce hospital acquired conditions and readmissions and provide client centred services, the IPE recognized the need for effective interprofessional teams to collaborate and engage patients and families by implementing IPE core structures and processes (Brewer & Jones, 2013). The Curtin University’s ICF encompasses five interprofessional capabilities: “reflection, communication, team function, conflict resolution, and role clarification” (Brewer & Jones, 2013, p. e47). The purpose of ICF is to guide and assist health care students for collaborative practice to deliver safe and high quality care, and client-centred care (Curtin University, 2011). Therefore, health science students are expected to be competent in all skills and meet the criteria outlined in Curtin University’ ICF.
In this event, the matter that is unusual can be the fact that I have experienced and witnessed the process for interprofessional collaboration between the community nurse and other professionals that I have never knew about before. This event made me realize that there are many aspects of community nursing that I have knew about before where in this situation it is the importance and accountability of interprofessional collaboration. From my nursing theory course I have learned that interprofessional collaboration is when the nurse forms relationships with other professionals that enable them to achieve a common goal to deliver care and strengthen the health system and clients involved in it. (Betker & Bewich, 2012, p.30) In this event,
Interprofessional practice is widely researched, and is held in high regard within education and policy; the issue is the lack of evidence of this collaboration being implemented within the health care system and hospitals (Kenny, 2002). Multidisciplinary care allows for multiple professions to work alongside each other, while working towards their own individual goals. Meanwhile, interprofessional practice involves all professionals working together as a team towards one goal, which is the overall health of the patient (Botten, 2012). Kenny (2002) suggests that interprofessional practice is an opportunity to diminish any power barriers, and considers all other professionals roles and responsibilities. This allows different professions to care for a patient based on their education, skills, specialties, and experiences. Botten (2012) proposes that this leads to a number of different perspectives, shared responsibilities, a decrease in medical errors and enhanced staff morale. The concept of different professionals working together is crucial in patient care because as stated previously, not one profession could possibly care for all of the needs of modern patients (Hilton et al., 2002). Research suggests that one reason for not implementing interprofessional practice is the
Interprofessional collaboration plays a major role in the health care system, especially when the patient’s recovery requires the attention of a variety of health professionals. The ability for professionals of different medical disciplines to work together is essential for the patient to receive the highest quality of care. S. Nelson, the patient involved in Case Study C, is the victim of a terrible car accident that leads to her being transported by helicopter to the nearest trauma center for immediate surgery. At the hospital, she is treated for multiple fractures, primarily on the left side of her body, and severe head trauma. As S. Nelson’s condition becomes stable, doctors of different health professions meet and discuss the plan of care that S. Nelson will need on her road to recovery. My job within S. Nelson’s health care team is the physical therapist, where I am responsible to work to help her regain strength – specifically in her left femur, left ulna, and several bones in her left hand.
The unit is a short-stay psychiatric inpatient unit located at Virginia Baptist Hospital in Lynchburg, Virginia. Kimberly describes her role and an important part of her job description as admitting patients, completing all of the units’ discharges including writing all prescriptions that are needed, consulting on all needs for the emergency department and as well as Lynchburg General Hospital, a local neighboring hospital, and also spending the majority of her time communicating with patients’ families, nursing homes, and other essential members of the patients’ treatment team. Each morning a meeting is held with the interdisciplinary team as well as Kimberly herself and the Medical Director. At this meeting each patients’ care is discussed in detail with every member of the treatment team present. Everyone brings something to the table, as Kimberly describes and Dr. Betz, both her collaborating physician and Medical Director, always has the best interest of all patients at heart, she adds in support of her medical co-worker. With discussion centered around every patient on the unit at the daily treatment team meeting, Dr. Betz is aware of Kimberly’s patients and his ideas such as what medications might work, potential side effects of medications, and the behaviors the patients are experiencing are all conferred upon.
Over the course of Trimester A, I had the opportunity to be a part of an interesting module known as “Interprofessional Context of Practice”. This module continually challenges the biomedical approach of western medicine by examining the collaborative practice of various professions (Robertson, Kinrade, and Green, 2015). The knowledge and understanding of the interprofessional realms of health care was assessed through group presentations. It was during this assessment where I have gained the most amount of interprofessional experience. As such, I will reflect upon an event that occurred during the presentation process.
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,
As the delivery of care becomes more complex, the need to coordinate care among physicians, nurses, pharmacists, social workers, and others becomes ever more important. In the face of increasingly complex health issues, several institutions have proposed inter-professional education (IPE) as a way to improve teamwork among health professionals and move health systems from fragmentation to collaboration, with the goal of improving health outcomes (Schmitt, Blue, Aschenbrener & Viggiano, 2011). This key competency also has been included in the accreditation standards for pharmacy, medicine, nursing, and dentistry. Additionally, core competencies for Interprofessional Collaborative Practice were developed to provide tools to prepare future health professions for interprofessional, team-based, and patient-centered care (American Association of Colleges of Nursing [AACN] 2012). These collaborative competencies connects to the five core competencies identified by the Institute of Medicine and are instrumental in working effectively with other health professions, patients, and families (Bethea, Holland & Reddick, 2014).
Interprofessional collaboration is defined as students from multiple health professions learning together and from one another with the end result of improving professional collaboration and patient outcomes1.The goal of IPE is to engage students across disciplines to work together and learn about collaborative practice, health literacy and to cultivate cultural awareness. Interprofessional collaboration in the health setting is a critical ingredient to achieving the Triple Aim of increased patient outcomes, increased patient experience and decreased costs
My field placement was ( I am no loner at this site) at the Mercy Fitzgerald Hospital in the Psychiatric Medical Care Unit, an acute short stay unit. All patients are admitted after careful evaluation by a psychiatrist and/or a psychiatric nurse practitioner at the crisis center. The patients are first stabilized in the crisis center then transferred to the unit for further treatment and evaluation. Once on the unit a multidisciplinary team comprised of psychiatrists, psychiatric nurse(s), social worker(s), recreational therapist, peer specialists, mental health technicians and other medical professionals (as needed ) work closely with each other and the patient to develop a treatment plan and discharge planning.
Hill and Howard McQuirter, LCSW. They both shared the disposition that the patient should be discharged pending his agreeing to to follow up with outpatient services. Patient has agreed to follow up with outpatient services as recommended. His grandmother has been made aware of the plans concerning the patient. Patient contracted for safety, was given outpatient referral information, and completed a crisis plan. It should also be noted the patient has an up-coming appointment at DayMark 4/17/17 for groups and 5/1/17 to meet with his Psychiatrist. He has been given a list of shelter in the local area as
Collaboration among different professions is a key to a positive prognosis in health care settings. To properly prepare the health care providers for collaborative practice, the Canadian Interprofessional Health Collaborative (CIHC) developed a national interprofessional (IP) competency teamwork, which identifies six essential competencies. One key competency is interprofessional communication. It is defined as “learners/ practitioners understand their own role and the roles of those in other professions, and use this knowledge appropriately to establish and achieve patient/client/ family and community goals” (CIHC, 2010). In this paper, a clinical case related to interprofessional communication will be reviewed. The significance of the
Working as a team with colleagues, families, friends, managers and other professionals in the hospital; be positive, support patients in their learning, building good professional, therapeutic relationship; plan and involve patients in their therapy so they know what they need to do and how that will help them in their recovery journey (Skills for Care and Skills for Health, 2013).
Thus, far the only thing that poses a challenge is learning the ropes of the department, but this will change as I am further acclimated. Bankston & Glazer (2013), suggested an approach to creating healthcare environments to be more susceptible to inter-disciplinary teamwork is to prepare those who will be graduating about how to practice collaborative teamwork. As an important statement, as a soon-to-be baccalaureate professional nurse, I will take skills learned during this clinical back to my place of employment and provide leadership to those on the department. Leading by example is important as a nurse, and we need to rely on each other for help and support no matter what skill level or need. Collaboration is something that is need everywhere in the healthcare industry, and learning how individuals work in emergency situations, allows me to utilize this in all areas of