Nursing II-test 3-Collaboration

Define collaboration

two or more individuals work together toward a common goal

Intraprofessional collaboration is with…

other nurses

Define collaboration

two or more individuals work together toward a common goal

Intraprofessional collaboration is with…

other nurses

interprofessional collaboration is…

non-nurses (physicians, UAPs, pharmacists, dieticians, chaplains, patients/families)

What is the point of collaboration?

To not overlap and do the same things, but to work together in our lanes where we have the best knowledge and skill

What does successful collaboration require?

skills in communication and teamwork, valuing team members’ roles and responsibilities, maintain a climate of mutual respect

What is a culture of mutual respect?

Knowing each team member as their own scope of practice and knowing what that is and valuing it, treating all members as equals, acknowledging uniqueness and differing views of each member, acknowledging diversity, values, and preferences, of each patient and team

List some communication skills for collaborating

-”we” statements instead of “I”

-SBAR for handoff/I pass the baton

-repeat back critical information to confirm understanding (closed-loop communication)

-CUS: I am Concerned, Uncomfortable, don’t feel this is Safe

-two challenge rule: safety concern acknowledged twice, then follows chain of command if not addressed

What are the 4 goals of interprofessional collaborative practice?

-Improve delivery of care

-manage costs

-enhance quality of care

-increase patient satisfaction

What are the benefits of interprofessional collaboration

-Care becomes patient-centered and patient-directed, leading to the patients/families feeling empowered, and an improvement in quality of care

-team members report empowerment, respect, appreciation

-improved coordination of care, use of specialists through referrals

what is assertive community treatment?

services in community for individuals with serious mental illnesses

Describe overt conflict

-addressed openly, obvious, easier to acknowledge that the conflict is present and describe itD

describe covert conflict

Not discussed openly, not easily acknowledged, tension, everyone involved will have different perceptions of the conflict, avoidance, reactive, or repressive behaviors

-will usually simmer in the background and then blow up and become a much larger conflict

sustained covert conflict

increased stress, distress, and confusion

How can we prevent conflict?

Recognize feelings of tension and anxiety and situations that risk the rise in tension (arguments, excluding a coworker, acting out, snide remarks)

-address issues as they arise

-avoid destructive criticism

-treat others with respect

-discuss situation in a private place away from patient care areas

-actively listen to each other

List the 5 styles of conflict response

1. competing: assertive, power-oriented approach, defensive

2. Collaborating: gains insight to others’ perspectives, cooperative approach

3. Compromising: approach in which both parties are partially satisfied

4. avoiding: preference to avoid addressing, seen as uncooperative

5. accommodating: attempt to satisfy others needs while neglecting own needs

How should we respond to conflict?

-Demonstrate honesty, trustworthiness, and respect

-state the issue objectively and provide a factual basis for concern, not emotional

-hear all individuals’ viewpoints and avoid passing judgment

-focus on identifying solutions

-recognize that safe and effective patient care is the central concern

define incivility

rude and disruptive behaviors that can progress to aggression, bullying, and violence

Why does incivility go unreported?

fear of retribution, not knowing how to report, seeing it as acceptable, prior failure of administration to respond to reports

What is work-place bullying?

Verbal attacks, refusal to assist others, speaking negatively or tauntingly for more than 6 months

can escalate to physical threats

verbal abuse is…

malicious, repeated, harmful mistreatment of an individual with whom one works with

Horizontal violence

aggressive acts committed against a nurse by nursing colleagues (2 people at same level)

Vertical violence

the aggressor has power over another person through the chain of command

Examples of overt bullying

gossi[ing, withholding information, sabotaging, name-calling, blaming, forming cliques

Examples of covert bullying

not helping when being asked for help, making faces, eye rolling, unkind interactions, inequitable patient assignments

How do we respond to bullying?

-Make sure you respond when it happens, using assertive and nonthreatening way

-move bully to a private area

-use “I” statements

-report incidents of bullying by documenting date, time, name of bully and witnesses, words and actions demonstrated and your own response

-seek support