collaboration with interprofessional teams

what is interprofessional collaboration

multiple health care workers working w/ the pt, their family, and caregivers to attain highest quality care

interprofessional education collaborative (IPEC

4 competencies to guide collaboration

4 competencies of IPEC

values/ethics for interprofessional practice, roles/responsibilities, communication, teams/teamwork

IPEC competency 1: Values/Ethics for Interprofessional Practice

pt centered, respect confidentiality, embrace differences, build rapport w/ team/pt, respect roles, ethical conduct/integrity/conduct

what does effective teamwork depend on

mutual respect, trust, shared goals

cultural diversity

differences among pts, families, and HCT members

cultural humility (ANA)

humble/respectful attitude toward individuals of other cultures and recognizing ones own bias to learn

IPEC competency 2: roles/responsibilities

clear communication of own role/scope, identify personal limits, collaborate, understand others roles, use full scope, build relationships

IPEC competency 3: interprofessional communication

use effective tools/tech, clear communication, share with confidence/respect, active listening, professional language, recognize differences

barriers to communication

lack experience, language differences, personal values/differences, etc.

IPEC Competency 4: Teams and Teamwork

understand team roles/development, share ethical principles, collaborate, diverse professional expertise, leadership/support for others, accountability

team STEPPS

evidence-based framework to enhance teamwork

skills of team stepps

communication, leadership, situation monitoring, mutual support (trust/respect - CUS/DESC tools for conflicts)

2-challenge rule

assertively voice concern at least twice

CUS model

I'm concerned -> I'm uncomfortable -> This is a Safety Issue

DESC tool

describe, express, suggest, consequences

sources of interpersonal conflict

passive-aggressive, horizontal aggression (bullying), defensiveness, peer informer behavior, victimization

how to address passive aggressiveness

address calmly/directly

how to address horizontal aggression (peer hostility/bullying)

confront respectfully and follow chain of command if unresolved

how to address defensiveness

restate facts and refocus on pt safety

how to address peer informer behavior (gossip/report w/o evidence)

encourage direct pt communication (unless concerns urgent)

how to address victimization

remind staff of consistent standards and focus on policy

Types of conflict

role, communication, goal, personality, ethics/value conflict

types of conflict resolution models

avoiding, competing, accommodating, compromising, collaborating

avoiding conflict resolution model

ignore/avoid situation (might not settle issue)

competing conflict resolution model

take on authoritarian approach (might strain relationship)

accommodating conflict resolution model

agree on conflict to avoid it (needs overlooked)

compromising conflict resolution model

two nurses split responsibility

collaborating conflict resolution model

working together to address all needs