Interprofessional Care Survey

By using the right literature this assignment will examine an outpatient department, critically analysing and exploring how professionals in this setting work effectively together and what hinders their interprofessional working. Further more the essay will identify the key issues and concept of interprofessional working in health care as a whole. Lastly the essay will also conclude by drawing together the main points and principle argument.

Interprofessional working is defined as ‘persons belonging to a profession, relating between and among each other, for the mutual benefit of those involved’ (Day, 2006), whilst attempting to improve the quality of patient care and unite the multidisciplinary team to focus on patient centred, excellent care (Goodman & Clemow, 2010). Interprofessional workers in the healthcare setting can include nursing staff from all fields; adult, mental health, learning disabilities and paediatrics, as well as the wider multidisciplinary team within the ward setting, such as occupational therapists, physiotherapists, doctors, podiatrists, furthermore, expanding from the ward setting to include community nurses, social workers, health visitors and midwives. Interprofessional working enables and encourages these professionals to combine their values and beliefs to focus on the patients and to deliver excellent, patient centred care. This therefore allows them to share a common purpose and goal whilst combining their knowledge, skills and resources as a team (Day, 2006).

The issue of interprofessional working is currently one of key importance in the field of health and social care (Moyneux, 2001). Using the 6 stages of Gibb’s Reflective cycle (1988) I am going to demonstrate my understanding and explore the importance of interprofessional working as well as discuss barriers and facilitators for team working. A healthcare system that supports effective teamwork can improve the quality of patient care, enhance patient safety and reduce workloads that cause burnout among healthcare professionals (Oandasan, 2006). The 6 stages of Gibb’s cycle include description, feelings, evaluation, analysis, conclusion and action planning for future practice. I am going to reflect on the preparation work which was carried out each week for the group summative presentation and the importance of communication within the group.

Budzi, Lurie, Singh, and Hooker (2010) state, “Nurse Practitioners’ (NP) interpersonal skills in patient teaching, counseling, and patient centered care contribute to positive health outcomes and patient satisfaction.” According to their research they encourage healthcare systems in the U.S. to hire more NPs to allow for better access affordable, and quality care (Denisco & Barker, 2016). With the demand for primary care providers, The NP role aids in delivering a solution to some of the healthcare issues that exist today. Organizations like the Institute of Medicine (IOM) and Centers for Medicare and Medicaid (CMS) all agree to allow nurses to practice to their full abilities to make healthcare more accessible and affordable, especially for the aging baby boomers and less accessible rural neighborhoods, and densely populated urban areas. Research has proven that NPs that provide primary care have similar health outcomes to primary care physicians (DeNisco et. al., 2016). NPs particularly take pride in their holistic approach, forming therapeutic relationships between other providers of the healthcare team, patients, and their families, aiding the informed decision making process, use of the evidence based practice approach in health management (Brown, 2005). Some of the other actions or qualities that

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

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.

During the two and a half years of my pharmacy journey, I have been thinking what can a pharmacist do within the healthcare interprofessional team to better help the patients in order to achieve the best health outcome. I work in a clinic as well as inpatient pharmacy, additionally, I had my rotations at CVS and Regions Hospital. all these experiences shape my version of the pharmacists at different settings. Therefore, in various pharmacy settings, pharmacists can work differently with the whole healthcare team. The recent PED-Rx events inspired me how important pharmacists can play roles in when working in a team.

This essay aims to provide a critical analyse upon interprofessional working in health care presenting its importance and identifying issues and barriers that impact on the patients ' treatment.

This essay aims to provide a critical analyse upon interprofessional working in health care presenting it 's importance and identifying issues and barriers that impact on the patients ' treatment.

Hall and Waver ( 2001) defines Interprofessional as a group of professionals from different disciplines such as nurses, doctors, pharmacist that are working and communicating with each other while providing their knowledge, skills and attributes to enhance and support the contributions of others. Suter et al (2009) also said that the ability to work in an interprofessional team to convey collaborative, patient-centered care is an important aspect of professional practice that involves a possession of a particular set of competencies, such as communication skills. In relation to (Weinstein et al., 2003) Collaboration is the collection of knowledge, skills, values and motives which transforms to effective practice when applied by practitioners.

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)

From my time as an emergency department scribe, I have observed that it is important for physicians to be able to competently work in teams of healthcare providers as it is the quality of care a patient receives that suffers when teamwork is lacking. I believe that early clinical experience is a way to improve teamwork competency in providers and as a result, I went on a quest for medical schools that allow students to gain early clinical experience. I was quite pleased upon discovering that the Yale School of Medicine runs the Longitudinal Clinical Experience which enables students to be involved in patient care right from the start of their programs. I believe that early clinical experience will allow me to improve my teamwork competency and also gain an understanding of other clinical realities that simulations may not adequately model such as the complexities of the healthcare

The presence of nurse practitioners (NP) in health care has been necessary for more than five decades. The American Association of Nurse Practitioners (AANP) indicates that there are over 205,000 NPs in the United States being utilized by Americans for their health care needs (AANP, 2015). NPs are a vital part of the modern health care system and are accepted by both health care consumers and other health care providers (Fairman, 2015). A study performed by Hart and Mirabella (2015), of emergency department patients determined that patients were satisfied with treatment by a NP in the past and were willing to receive treatment from the NP during their current visit. A study conducted in emergency departments in Canada indicated that NPs demonstrate attentiveness, comprehensive care, and role clarity (Thrasher 2008). These positive characteristics are critical components of patient satisfaction. Additionally, NPs have been utilized more especially with more American developing insurance coverage through health care reform. According to the Department of Health and Human Services (2013), those seeking services in primary care is expected to continually rise through 2020. This increased demand is largely due to the growth of an aging population and from the Affordable Care Act increase in insurance benefits. The Affordable Care Act, along with the shortage of primary care physicians, has expanded the role of the nurse

I am currently working within a joint health and social care team to support service user with hospital discharge and this team consist of occupational therapist, physiotherapist, dietician, speech and language therapist, doctor and consultants. I am aware that the Health and Social Care Act 2012 promotes joint working between health and social care and these principles have been further embedded in the new Care Act 2014. Cameron et al (2012) argue the Government intention is to enable joint working between the NHS and local authorities in order to make it easier for commissioners and providers to adopt partnership arrangements to provide joint local services. The authors argue that joint working ethos have been further embedded in current policies due to the rising demand for services from an ageing population joined with the need to reduce public spending. Moreover, the integration of health and social care services offers further resources to support service users with complex needs to live independently in the community (Cameron et al 2012:3).

Their job is to aid clients in resolving their health issues, whether that be through direct care, or working in a multidisciplinary team, providing referrals to allied health professionals and specialists who can aid in preventative care or chronic disease management. Such referrals are the primary method in which AHPs and specialists are accessed. However, this is not the only form of medical dominance. McNeil et. al (2013) suggests that it can also be identified through differential treatment within the health care system, wherein the dominant group, namely medical practitioners, receive benefits such as promotions, better income, greater opportunities, and praise. This is largely due to the organisation of Australian hospitals wherein health professionals are positioned in a hierarchy based on their managerial and clinical qualifications (Willis, Reynolds, & Keleher, 2012; Licqurish & Seibold, 2013). Evidently, medical dominance spans through both the private and public sectors of the Australian health care system, effecting them both in their respective manners. However, a focus on the private sector will be discussed.